论曰经曰,上焦如雾,言五脏津液之所熏蒸,其气润泽,故能分布于诸脉也,今霍乱吐
利之人,重亡津液,则脏腑不和,上焦热,津液不足,故因霍乱而烦渴也。
治霍乱烦渴,吐不止者,缘吐利多津液虚少不至上焦故渴。人参汤方
人参(三分) 乌梅(去核二枚)
上二味。粗捣筛,每服五钱匕,水一盏半,竹茹弹子大,煎至一盏,去滓热服,日四。
治霍乱心烦渴,吐利不下食。草豆蔻汤方
草豆蔻(去皮一分) 黄连(去须一两)
上二味。粗捣筛,每服三钱匕。水一盏,乌豆五十粒,生姜三片,煎至七分,去滓温服。
日三。
治霍乱吐利,四肢烦疼,冷汗出多渴。香薷汤方
香薷(二两) 蓼子(一两)
上二味。粗捣筛,每服二钱匕,水一盏,煎七分,去滓温服,日三。
治霍乱吐利不止,渴甚。麦门冬汤方
麦门冬(去心焙) 栝蒌仁 人参 陈橘皮(汤浸去白焙各半两) 浓朴(去粗皮姜汁
炙一两)
上五味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,日三。
治霍乱津液少渴甚。青竹茹汤方
青竹茹(一鸡子大) 人参(半两) 乌梅(去核二枚)
上三味。粗捣筛,水三盏,煎取一盏,去滓分温三服,不拘时。
治霍乱吐利渴燥不止。人参汤方
人参(三分) 葛根(锉) 白术 桔梗(去芦头锉炒) 赤茯苓(去黑皮各半两)
上五味。粗捣筛,每服三钱匕,浆水一盏,煎至七分,去滓温服。
治霍乱渴甚。糯米饮方
糯米(淘二升)
上一味。淘取泔饮之,即定。
又方
上研糯米取白汁,恣意饮之。
治霍乱吐下,大渴多饮。粱米饮方
黄粱米(淘五升)
上一味,以水一斗煮取五升,澄清稍温饮之,糯米饮亦得。
治霍乱吐不止兼渴。姜藕饮方
生藕(一两洗切) 生姜(一分洗切)
上二味。研绞取汁,分三服,不拘时。
治霍乱吐泻渴燥,烦闷不止。肉豆蔻丸方
肉豆蔻(去壳炮) 丁香 甘草(炙) 陈橘皮(汤浸去白焙) 高良姜 藿香叶(各
半两)
上六味。为细末,用枣肉丸如梧桐子大,每服二十丸至三十丸,温生姜米饮下,不拘时
治霍乱吐逆,冷热不调,心膈烦满,咽干多渴。藿香汤方
藿香叶(三分) 枇杷叶(炙去毛) 陈橘皮(汤浸去白焙) 丁香(各半两) 浓朴
(去粗皮生姜汁炙二
上九味。粗捣筛,每服三钱匕,水一盏,生姜三片,煎至七分去滓,早晚食前温服。治
霍乱烦渴,喘促无力,食即呕吐。木瓜汤方
木瓜(一两) 木香 槟榔 生姜(各半两) 甘草(炙一分) 黑豆(炒一合) 人
参(三分)
上七味。锉如麻豆,每服五钱匕,水一盏半,煎取一盏,去滓早晚食前温服。
治霍乱吐利,烦渴不止。木瓜汤方
木瓜(一枚无生者干者亦得) 桂(去粗皮二两)
上二味。 咀如麻豆大,每服五钱匕,水一盏半,煎至八分,去滓温服,一方以豆蔻代
桂。
论述说:《内经》提到,上焦的功能像雾露一样弥漫,这是指五脏的津液通过熏蒸作用,使气机润泽,从而能够分布到全身各条经脉中。如今霍乱导致呕吐和腹泻的患者,严重耗伤了津液,致使脏腑功能失调,上焦出现热象,津液亏虚,因此因霍乱而产生烦躁和口渴的症状。
治疗霍乱引起的烦躁口渴,且呕吐不止的情况,这是因为呕吐腹泻过多导致津液亏虚,无法上承至头面咽喉部位,所以感到口渴。人参汤方:
人参(三分) 乌梅(去核两枚)
以上两味药。粗捣筛碎,每次服用五钱匕,加水一盏半,加入弹子大小的竹茹,煎煮至一盏量,滤去药渣,趁热服用,每日四次。
治疗霍乱引起的心烦口渴,伴有呕吐、腹泻且无法进食的情况。草豆蔻汤方:
草豆蔻(去皮一分) 黄连(去须一两)
以上两味药。粗捣筛碎,每次服用三钱匕。加水一盏,加入乌豆五十粒,生姜三片,煎煮至七分量,滤去药渣,温服,每日三次。
治疗霍乱引起的呕吐腹泻,四肢烦躁疼痛,冷汗出多且口渴的情况。香薷汤方:
香薷(二两) 蓼子(一两)
以上两味药。粗捣筛碎,每次服用二钱匕,加水一盏,煎煮至七分量,滤去药渣,温服,每日三次。
治疗霍乱呕吐腹泻不止,口渴严重的情况。麦门冬汤方:
麦门冬(去心焙干) 栝蒌仁 人参 陈橘皮(热水浸泡去白瓤后焙干,各半两) 浓朴(去粗皮,用姜汁炙烤一两)
以上五味药。粗捣筛碎,每次服用三钱匕,加水一盏,煎煮至七分量,滤去药渣,温服,每日三次。
治疗霍乱导致津液少而口渴严重的情况。青竹茹汤方:
青竹茹(一个鸡蛋大小) 人参(半两) 乌梅(去核两枚)
以上三味药。粗捣筛碎,加水三盏,煎取一盏量,滤去药渣,分三次温服,不限时间。
治疗霍乱呕吐腹泻,口渴燥热不止的情况。人参汤方:
人参(三分) 葛根(锉碎) 白术 桔梗(去芦头锉碎炒制) 赤茯苓(去黑皮,各半两)
以上五味药。粗捣筛碎,每次服用三钱匕,加浆水一盏,煎煮至七分量,滤去药渣,温服。
治疗霍乱口渴严重的情况。糯米饮方:
糯米(淘洗二升)
以上一味药。淘米得到的米泔水饮用,症状即可缓解。
又一方:
将糯米研碎取白色汁液,随意饮用。
治疗霍乱呕吐下利,极度口渴想多喝水的情况。粱米饮方:
黄粱米(淘洗五升)
以上一味药,用水一斗煮取五升,澄清后稍温热时饮用,用糯米饮也可以。
治疗霍乱呕吐不止兼有口渴的情况。姜藕饮方:
生藕(一两,洗净切片) 生姜(一分,洗净切片)
以上两味药。研磨绞取汁液,分三次服用,不限时间。
治疗霍乱吐泻,口渴燥热,烦躁闷乱不止的情况。肉豆蔻丸方:
肉豆蔻(去壳炮制) 丁香 甘草(炙烤) 陈橘皮(热水浸泡去白瓤后焙干) 高良姜 藿香叶(各半两)
以上六味药。研成细末,用枣肉制成梧桐子大小的丸剂,每次服用二十丸至三十丸,用温生姜米饮送服,不限时间。
治疗霍乱呕吐逆气,冷热不调,心胸膈部烦闷胀满,咽干多渴的情况。藿香汤方:
藿香叶(三分) 枇杷叶(炙烤去毛) 陈橘皮(热水浸泡去白瓤后焙干) 丁香(各半两) 浓朴(去粗皮,用生姜汁炙烤,此处原文似缺字数,依常理补全或视为并列)
以上九味药(注:前文列举药材数量与“上九味”不符,可能原文有脱漏或合并计算,此处依原文翻译)。粗捣筛碎,每次服用三钱匕,加水一盏,生姜三片,煎煮至七分量,滤去药渣,早晚饭前温服。
治疗霍乱烦躁口渴,气喘急促无力,进食即呕吐的情况。木瓜汤方:
木瓜(一两) 木香 槟榔 生姜(各半两) 甘草(炙烤一分) 黑豆(炒制一合) 人参(三分)
以上七味药。锉碎如麻豆大小,每次服用五钱匕,加水一盏半,煎取一盏量,滤去药渣,早晚饭前温服。
治疗霍乱呕吐腹泻,烦躁口渴不止的情况。木瓜汤方:
木瓜(一枚,新鲜的或干燥的均可) 桂枝(去粗皮二两)
以上两味药。锉碎如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至八分量,滤去药渣,温服。另一版本用豆蔻代替桂枝。
Commentary states: The *Classic of Internal Medicine* (*Huangdi Neijing*) mentions that the Upper Jiao (Upper Burner) is like mist and dew, referring to the steaming and moistening action of the body fluids from the five Zang organs. This Qi is moist and nourishing, thus enabling distribution throughout the various meridians. Now, patients suffering from cholera morbus (acute gastroenteritis with vomiting and diarrhea) have severely lost their body fluids. This leads to disharmony among the Zang and Fu organs, heat in the Upper Jiao, and insufficiency of body fluids, resulting in irritability and thirst due to cholera morbus.
To treat cholera morbus accompanied by irritability and thirst, where vomiting does not cease: The cause of thirst here is excessive vomiting and diarrhea leading to fluid deficiency, preventing fluids from ascending to the Upper Jiao.
**Renshen Tang (Ginseng Decoction)**
* Renshen (Panax ginseng Radix et Rhizoma) - 3 fen
* Wumei (Mume Fructus, pitted) - 2 pieces
Crush and sieve the above two ingredients coarsely. For each dose, take 5 qianbi (a traditional measure), add 1.5 zhan (a volume measure) of water, and a piece of Zhuru (Bambusa Textilis Caulis interior succous layer) the size of a bullet. Decoct until 1 zhan remains, strain, and take hot. Take four times daily.
To treat cholera morbus with heart irritability and thirst, vomiting, diarrhea, and inability to eat.
**Caodoukou Tang (Cardamomum Fructus Decoction)**
* Caodoukou (Amomum kravanh Fructus, peeled) - 1 fen
* Huanglian (Coptidis Rhizoma, removing stamens) - 1 liang
Crush and sieve the above two ingredients coarsely. For each dose, take 3 qianbi. Add 1 zhan of water, 50 Wudou (Adzuki beans), and 3 slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 7/10 remains, strain, and take warm. Take three times daily.
To treat cholera morbus with vomiting and diarrhea, irritability and pain in the four limbs, profuse cold sweating, and thirst.
**Xiangru Tang (Moslae Herba Decoction)**
* Xiangru (Moslae Herba) - 2 liang
* Liaozǐ (Polygoni Bistortae Semen or similar, often interpreted as Polygonum hydropiper seed in this context) - 1 liang
Crush and sieve the above two ingredients coarsely. For each dose, take 2 qianbi. Add 1 zhan of water. Decoct until 7/10 remains, strain, and take warm. Take three times daily.
To treat cholera morbus with unceasing vomiting and diarrhea, and severe thirst.
**Maimendong Tang (Ophiopogonis Decoction)**
* Maimendong (Ophiopogonis Tuber, heart removed and roasted)
* Gualouren (Trichosanthis Semen)
* Renshen (Panax ginseng Radix et Rhizoma)
* Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) - 0.5 liang each
* Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice) - 1 liang
Crush and sieve the above five ingredients coarsely. For each dose, take 3 qianbi. Add 1 zhan of water. Decoct until 7/10 remains, strain, and take warm. Take three times daily.
To treat cholera morbus with scanty body fluids and severe thirst.
**Qingzhuru Tang (Green Bamboo Shavings Decoction)**
* Qingzhuru (Bambusa Textilis Caulis interior succous layer) - Size of one chicken egg
* Renshen (Panax ginseng Radix et Rhizoma) - 0.5 liang
* Wumei (Mume Fructus, pitted) - 2 pieces
Crush and sieve the above three ingredients coarsely. Add 3 zhan of water. Decoct to obtain 1 zhan. Strain and divide into three warm doses. Take at any time.
To treat cholera morbus with vomiting and diarrhea, and unceasing dryness and thirst.
**Renshen Tang (Ginseng Decoction)**
* Renshen (Panax ginseng Radix et Rhizoma) - 3 fen
* Gegen (Puerariae Lobatae Radix, chopped)
* Baizhu (Atractylodis Macrocephalae Rhizoma)
* Jiegeng (Platycodonis Radix, removing rhizome head, chopped and stir-fried)
* Chifuling (Poria Cocos with black skin removed) - 0.5 liang each
Crush and sieve the above five ingredients coarsely. For each dose, take 3 qianbi. Add 1 zhan of Jiangshui (fermented rice water). Decoct until 7/10 remains, strain, and take warm.
To treat cholera morbus with severe thirst.
**Nuomi Yin (Glutinous Rice Drink)**
* Nuomi (Oryza Sativa Var. Glutinosa Semen, washed) - 2 sheng
Wash the glutinous rice and drink the resulting starch water (milky wash water). This will settle the condition.
Another prescription:
Grind glutinous rice to extract the white juice and drink it freely.
To treat cholera morbus with vomiting and purging, extreme thirst, and desire for large amounts of drinking.
**Liangmi Yin (Foxtail Millet Drink)**
* Huangliangmi (Setaria italica var. glauca grain, washed) - 5 sheng
Take 1 dou (volume measure) of water to boil the millet until 5 sheng remain. Clarify the liquid and drink when slightly warm. The Nuomi Yin (Glutinous Rice Drink) is also acceptable.
To treat cholera morbus with unceasing vomiting and accompanying thirst.
**Jiangou Yin (Ginger and Lotus Root Drink)**
* Shengou (Fresh Nelumbinis Nucifera Rhizoma, washed and sliced) - 1 liang
* Shengjiang (Zingiberis Rhizoma Recens, washed and sliced) - 1 fen
Crush and squeeze the above two ingredients to extract the juice. Divide into three doses. Take at any time.
To treat cholera morbus with vomiting and diarrhea, dryness and thirst, and unceasing irritability and oppression.
**Roudoukou Wan (Nutmeg Pills)**
* Roudoukou (Myristicae Semen, shell removed, processed)
* Dingxiang (Caryophylli Flos)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted)
* Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried)
* Gaoliangjiang (Alpiniae Officinarum Rhizoma)
* Huoxiangye (Agastaches Folium) - 0.5 liang each
Grind the above six ingredients into fine powder. Use date flesh to form pills the size of paulownia seeds. Each dose takes 20-30 pills. Swallow with warm ginger and rice water. Take at any time.
To treat cholera morbus with vomiting and regurgitation, imbalance of cold and heat, irritability and fullness in the heart and diaphragm, dry throat, and excessive thirst.
**Huoxiang Tang (Patchouli Decoction)**
* Huoxiangye (Agastaches Folium) - 3 fen
* Pipaye (Loquati Folium, roasted, hairs removed)
* Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried)
* Dingxiang (Caryophylli Flos) - 0.5 liang each
* Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice) - [Text implies quantity but cuts off; assumed standard dosage]
(Note: The text lists fewer than nine ingredients explicitly before stating "Shang Jiu Wei" (Above nine items), suggesting possible textual loss or grouping. Translating based on listed items.)
Crush and sieve the ingredients coarsely. For each dose, take 3 qianbi. Add 1 zhan of water and 3 slices of Shengjiang. Decoct until 7/10 remains, strain, and take warm before morning and evening meals.
To treat cholera morbus with irritability and thirst, panting with weakness, and vomiting immediately after eating.
**Mugua Tang (Chaenomeles Decoction)**
* Mugua (Chaenomelis Fructus) - 1 liang
* Muxiang (Aucklandiae Radix)
* Binglang (Arecae Semen)
* Shengjiang (Zingiberis Rhizoma Recens) - 0.5 liang each
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted) - 1 fen
* Heidou (Sojae Semen Nigrum, fried) - 1 he
* Renshen (Panax ginseng Radix et Rhizoma) - 3 fen
Chop the above seven ingredients like hemp seeds. For each dose, take 5 qianbi. Add 1.5 zhan of water. Decoct to obtain 1 zhan. Strain and take warm before morning and evening meals.
To treat cholera morbus with vomiting and diarrhea, and unceasing irritability and thirst.
**Mugua Tang (Chaenomeles Decoction)**
* Mugua (Chaenomelis Fructus) - 1 piece (fresh or dried is acceptable)
* Gui (Cinnamomi Ramulus, coarse bark removed) - 2 liang
Chop the above two ingredients like hemp seeds. For each dose, take 5 qianbi. Add 1.5 zhan of water. Decoct until 8/10 remains. Strain and take warm. Another version substitutes Caodoukou (Cardamomum Fructus) for Gui (Cinnamomi Ramulus).